Chest Wall and Diaphragmatic Injuries

Antonacci, Filippo; Renaud, Stéphane; Mazzucco, A.; Orlandoni, G; Santelmo, Nicola

doi:10.1007/978-3-319-95114-0_19

Cited by 1 publication

(2 citation statements)

References 22 publications

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“…The reported incidence rate varies, but it appears that rupture is consistently associated with penetrating trauma (10%–19% [ 1 ]; 67% [ 2 ]) more often than blunt trauma (5% [ 1 ]; 33% [ 2 ]). A tremendous amount of force must be sustained to produce a defect in the diaphragm, and the overall mortality rate, ranging from 18% (blunt injury) to 40% (penetrating injury), is often because of collateral injuries [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Robot-assisted repair of delayed traumatic diaphragmatic hernia: a case report

Holder,

Bakeer

2024

Journal of Surgical Case Reports

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Traumatic diaphragmatic hernia is a sign of severe thoracoabdominal trauma that is often difficult to detect because of nonspecific presenting symptoms, delayed presentation, and distracting injuries. Diagnosis depends on imaging and a high degree of suspicion in patients who present with respiratory or gastrointestinal symptoms after trauma, and prompt surgical repair is required. This case reviews a patient who presented to the emergency department with burning epigastric pain radiating to the left chest and hematemesis ~1 month after sustaining a blunt abdominal injury. Imaging studies revealed a substantial portion of the gastric body in the left hemithorax. Robot-assisted reduction of the stomach was performed followed by repair with tension-free primary closure without mesh reinforcement and gastropexy. The patient was monitored for return of bowel function and discharged upon recovery. This case report highlights the diagnostic challenges of traumatic diaphragmatic hernia and the benefit of robot-assisted repair.

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Section: Introductionmentioning

confidence: 99%

“…The clinical manifestations of traumatic diaphragmatic hernia (TDH) can be classified as acute, latent, or obstructive [ 3 ]. Rashid et al .…”

Section: Introductionmentioning

confidence: 99%